Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review
Hypoparathyroidism is a rare disorder of mineral metabolism, characterized by hypocalcemia as a result of the absence or deficiency of parathyroid hormone. The severity of the condition of patients with this disease is associated with both acute episodes of hypocalcemia due to cardiac arrhythmias, l...
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| Format: | Article |
| Language: | Russian |
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IMA-PRESS LLC
2021-06-01
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| Series: | Неврология, нейропсихиатрия, психосоматика |
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| Online Access: | https://nnp.ima-press.net/nnp/article/view/1581 |
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| author | Yu. A. Krupinova T. A. Zelenkova-Zakharchuk E. V. Kovaleva Sh. T. Ashurbekova A. K. Eremkina N. G. Mokrysheva |
| author_facet | Yu. A. Krupinova T. A. Zelenkova-Zakharchuk E. V. Kovaleva Sh. T. Ashurbekova A. K. Eremkina N. G. Mokrysheva |
| author_sort | Yu. A. Krupinova |
| collection | DOAJ |
| description | Hypoparathyroidism is a rare disorder of mineral metabolism, characterized by hypocalcemia as a result of the absence or deficiency of parathyroid hormone. The severity of the condition of patients with this disease is associated with both acute episodes of hypocalcemia due to cardiac arrhythmias, laryngo- or bronchospasm, generalized seizures, and manifestations of long-term complications of the disease, such as kidney pathology. In some cases, the normalization of phosphorus-calcium metabolism due to standard treatment with active metabolites / analogues of vitamin D and calcium salts does not lead to a reduction in clinical symptoms, which requires differential diagnosis with other conditions, including such neuropsychiatric disorders as epileptic seizures and their equivalents, syncope, and psychogenic nonepileptic seizures. We present a case report of a woman with convulsions, which developed due to dissociative (conversion motor) disorder, with chronic postoperative hypoparathyroidism, receiving standard treatment and having normo- and hypercalcemia. |
| first_indexed | 2024-04-10T02:00:56Z |
| format | Article |
| id | doaj.art-721e7e6ce5ba4c3cbc386a82f831428a |
| institution | Directory Open Access Journal |
| issn | 2074-2711 2310-1342 |
| language | Russian |
| last_indexed | 2024-04-10T02:00:56Z |
| publishDate | 2021-06-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Неврология, нейропсихиатрия, психосоматика |
| spelling | doaj.art-721e7e6ce5ba4c3cbc386a82f831428a2023-03-13T08:42:21ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422021-06-01133828710.14412/2074-2711-2021-3-82-871140Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature reviewYu. A. Krupinova0T. A. Zelenkova-Zakharchuk1E. V. Kovaleva2Sh. T. Ashurbekova3A. K. Eremkina4N. G. Mokrysheva5National Medical Research Center for Endocrinology, Ministry of Health of RussiaNational Medical Research Center for Endocrinology, Ministry of Health of RussiaNational Medical Research Center for Endocrinology, Ministry of Health of RussiaNational Medical Research Center for Endocrinology, Ministry of Health of RussiaNational Medical Research Center for Endocrinology, Ministry of Health of RussiaNational Medical Research Center for Endocrinology, Ministry of Health of RussiaHypoparathyroidism is a rare disorder of mineral metabolism, characterized by hypocalcemia as a result of the absence or deficiency of parathyroid hormone. The severity of the condition of patients with this disease is associated with both acute episodes of hypocalcemia due to cardiac arrhythmias, laryngo- or bronchospasm, generalized seizures, and manifestations of long-term complications of the disease, such as kidney pathology. In some cases, the normalization of phosphorus-calcium metabolism due to standard treatment with active metabolites / analogues of vitamin D and calcium salts does not lead to a reduction in clinical symptoms, which requires differential diagnosis with other conditions, including such neuropsychiatric disorders as epileptic seizures and their equivalents, syncope, and psychogenic nonepileptic seizures. We present a case report of a woman with convulsions, which developed due to dissociative (conversion motor) disorder, with chronic postoperative hypoparathyroidism, receiving standard treatment and having normo- and hypercalcemia.https://nnp.ima-press.net/nnp/article/view/1581hypoparathyroidismhypocalcemiaconvulsionsseizuresconversion disorder |
| spellingShingle | Yu. A. Krupinova T. A. Zelenkova-Zakharchuk E. V. Kovaleva Sh. T. Ashurbekova A. K. Eremkina N. G. Mokrysheva Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review Неврология, нейропсихиатрия, психосоматика hypoparathyroidism hypocalcemia convulsions seizures conversion disorder |
| title | Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review |
| title_full | Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review |
| title_fullStr | Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review |
| title_full_unstemmed | Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review |
| title_short | Differential diagnosis of convulsions in the structure of dissociative (conversion motor) disorder and chronic postoperative hypoparathyroidism: case report and literature review |
| title_sort | differential diagnosis of convulsions in the structure of dissociative conversion motor disorder and chronic postoperative hypoparathyroidism case report and literature review |
| topic | hypoparathyroidism hypocalcemia convulsions seizures conversion disorder |
| url | https://nnp.ima-press.net/nnp/article/view/1581 |
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